MiscSubjects

PINE STREET CLINIC LLC

PINE STREET CLINIC LLC

Healthcare Organization

npi
1801194303
phone
415-485-0484
status
A
address
124 PINE ST, SAN ANSELMO, CA, 949602602
license
1140
taxonomy
Acupuncturist
last updated
2011-03-08
license state
CA
taxonomy code
171100000X
enumeration date
2011-03-08
enumeration type
NPI-2
practice locations
0
authorized official
MICHAEL BROFFMAN
organizational subpart
NO
npiregistry.cms.hhs.gov ↗

Recorded 2026-10-10

Connected objects

COUNTY OF MARINAssessor parcel record
Parcel number
00725125
00725125

00725125 · located on

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